Rotunda – The Center For Human Reproduction is located in Bandra, Mumbai. As the leading fertility clinic in Mumbai, our team offers a comprehensive range of fertility services under one roof. We are renowned for our innovation, integrity, medical and technical excellence, personalized service, and consistent willingness to accept patients facing the most difficult medical challenges.

Since the very first time I have visited , I have never felt that I am meeting Doctor but always felt that he is our brother.
Infertility couple always needs psychological support from doctor and staff but we have got something more than this , that is love and affection from Rotunda. Can not express in words.
Best guidance, best treatment, personal attention and family feeling. What else we desire? No suggestions. Everything is just very nice as it should be.
We are sure that this is going to be best address in India for Infertility. We would like to say something more than Thank you to all of you. Rotunda group.

July 2017

My wife Janki delivered a baby girl last evening, as membranes ruptured the delivery had to be done at 36 weeks. The baby is just 2.25 kg but all is fine and hope things go well. Though we have not been in much correspondence over the last few months, never for a moment did we forget the contribution of Rotunda towards the happiness.
We are enjoying today. I will be grateful for this life of course, if not the next. For what you have given us we will never forget Rotunda, we can never forget the beautiful gift that you have given us. We will most definitely drop in with the baby during the course of the first year of her life.
I cannot just say thank you as that is too less.
Regards and best wishes for Rotunda.

Denoted as the top IVF clinic in Delhi, Advance Fertility and Gynecology Centre, is an outstanding Assisted Reproduction Centre located in the heart of South Delhi, easily accessible via all forms of transportation. Located next to a major metro station, even those without easy access to four wheelers can easily find their way as the clinic is on the main road. A Delhi location convenient for IVF patients as they usually need to visit the clinic more frequently than other categories of patients.

By your blessings, our small daughter is now an active child of 3+ and plans to join school next year from the present pre schooling. She is smart, quick learner, less eater, very caring and dance and music lover. Thank you so very much Dr Banerjee.

July 2017

Dr Kaberi Banerjee is rated as one of the best IVF doctors in Delhi and a leading infertility specialist in India.

Following the footsteps of our founder, Dr. Khandeparkar’s Nursing Home, continues to provide best possible and affordable healthcare and infertility management to all sections of the society, each with a personal touch. Dr. Shubhada Khandeparkar has added a new asset – Dr. Khandeparkar’s Infertility & IVF Centre, located at Dadar, in the heart of Central Mumbai, to Dr. Khandeparkar’s Nursing Home and Hospital.

International fertility centre (IFC) is one of the most advanced IVF clinics in India, providing an international level of assisted reproductive treatments with the state-of-art facility at an affordable cost to allow childless couples realize their dream of having a baby.

The clinic as a whole is great with very competent doctors. I was followed by the doctor bajaj who is very competent, available and open. It really puts patients at ease. By cons the service of welcome is to review because somte agents are unpleasant with foreign patients especially if they are black. Moreover, they do not respect the hour of the appointment whereas a translator is paid per hour. Our translator who was nice was disappointed by the behavior of some agents of the reception. Fortunately the doctor was doing his best so that we would be well treated and served.
Even though my first experience did not work, I would retry experience with them to realize my dream. I recommend this clinic to other women who are in the case that I do. I hope that, on my next attempt, the welcome will improve his behavior towards foreigners.

May 2017

I could not suggest any better clinic other than International Fertility Centre. After experiencing IVF failure and miscarriage, I thought I could never have my own child. But IFC and especially, Dr. Rita Bakshi proved me wrong. Thank you for the greatest gift of motherhood.

The Akanksha Infertility Clinic in Anand, Gujarat, India, has extensive experience helping international patients establish successful pregnancies, at very low costs. The clinic has been featured on the Oprah Winfrey Show, CNN and BBC news.

After many unsuccessful attempts in Australia, we found Dr Nayana Patel. What an amazing and gifted woman. We started our 1st cycle in September 2011 and in October we got confirmation that we were pregnant. We welcomed our gorgeous son into the world in May 2012. The staff and clinic are amazing and supported us throughout the whole process. We had an amazing experience and would recommend Akanksha Fertility Clinic to everyone wanting a baby with no success. You will not find a better doctor, clinic, staff or service anywhere else. Do your self a favour and go through Akanksha Fertility Clinic you will not be dissapointed.

PESA (Percutaneous Epididymal Sperm Aspiration) Overview

Percutaneous epididymal sperm aspiration (PESA) is a sperm retrieval method that removes sperm. PESA can be carried out in advance or when the female partner is ovulating. If performed in advance, the sperm will need to be frozen (sperm freezing) and then stored until it is required for IVF with ICSI (microinjection). Epididymal sperm tolerates the freeze-thaw process very well. PESA is similar to a related technique called microsurgical epididymal sperm aspiration (MESA).

The main difference between the two is that MESA uses a microscope to help find sperm while PESA does not. During PESA, sperm are aspirated “blindly” from the epididymis through the skin. As PESA is a less invasive procedure than MESA, it is often attempted first. It can also be performed more than once in the same epididymis. PESA is considered to be the most successful when sperm production in the testis is normal. However, this method has a tendency to retrieve sperm that are less mature and have lower motility so repeated procedures may be required.

The main disadvantage of percutaneous epididymal sperm aspiration is that the sperm sample may be contaminated with blood. This is because the percutaneous puncture can damage blood vessels and the epididymal tubule. Another disadvantage is that low quantities of sperm are sometimes collected. PESA is generally an effective sperm aspiration technique and the subsequent IVF pregnancy rate compares favorably with other techniques.

The percutaneous epididymal sperm aspiration procedure is normally performed in an outpatient clinic under local anesthetic – with or without sedation. The recovery period for percutaneous epididymal sperm aspiration (PESA) procedure is about one day. Once 10-20 million sperm are retrieved, the epididymal tubule is closed with a microscopic stitch and the sperm are further processed.

The cost of PESA can vary between clinics and hospitals. Many people choose to travel abroad for this medical procedure because it is often cheaper than back home. By doing this, they can save money and have a relaxing holiday at the same time. If they are having a combination of infertility treatments, the savings can reach into the thousands of dollars.

A Good Candidate for PESA (Percutaneous Epididymal Sperm Aspiration)

To be a good candidate for percutaneous epididymal sperm aspiration (PESA), you need to fit a number of criteria. When you first arrange a consultation with your infertility specialist, he will talk to you about what your options are and which one is the best for you.

There are a variety of sperm retrieval techniques that can be used to help couples with male factor causes of infertility to become pregnant. These include Microdissection TESE and Testicular Sperm Aspiration (TESA).

All sperm aspiration methods can be carried out in advance of the female partner’s ovulation or at the same time. IVF with ICSI (microinjection) can be carried out once healthy sperm and egg cells have been obtained.

Patients Who Are Good Candidates for PESA:

· Capable of normal sperm production but no sperm

· Men who have no sperm in their ejaculate because they were born with no vas deferens (the sperm-carrying tube). This is a condition referred to as congenital bilateral absence of the vas deferens (CBAVD)

· Men whose vas deferens is blocked/scarred as a result of a previous infection, trauma or vasectomy

· Men who have experienced a failed vasectomy reversal

· Patients who have already undergone earlier attempts may have the PESA procedure again

· A good candidate for PESA might be someone who suffers from anejaculation (absence of ejaculation) as a result of diabetes or a spinal cord injury.

· Men who have had a vasectomy but do not necessarily want to reverse it permanently. For example, they may only want one child and not worry about contraception again later. Also, a vasectomy reversal can be expensive and complicated

Patients Who Are NOT Good Candidates for PESA:

· Someone who might not be a good candidate for PESA is a man with non-obstructive azoospermia. This is because they don’t have normal sperm production and so don’t usually have sperm present in their epididymis for retrieval

· A sperm aspiration method such as PESA in these men may fail to recover enough healthy sperm so another method may be required

PESA (Percutaneous Epididymal Sperm Aspiration) Procedure

The percutaneous epididymal sperm aspiration (PESA) procedure is performed on men who are having sperm retrieved for IVF treatments. PESA is designed to help retrieve sperm from men suffering from obstructive azoospermia due to prior vasectomy or infection.

The procedure is normally performed in an outpatient clinic under local anesthetic. If the patient requires sedation, it can also be administered. PESA does not take very long (patient is discharged after 1-2 hours) and the recovery time is about one day. Mild discomfort in the groin area after the PESA procedure can be managed with regular pain medication.

A needle is placed into the epidymis (a tube that connects the efferent ducts of each testicle to its vas deferens) to explore for a pocket of sperm will be found and aspirated.

PESA is considered to be a “blind” procedure because the surgeon cannot see where he is putting the needles. Once 10-20 million sperm are retrieved, the epididymal tubule is closed with a microscopic stitch and the aspirate is flushed into a culture medium before being processed.

Some advantages of the PESA procedure include:

· It is successful in most cases

· It avoids a skin incision

· Costs are lower because a microscope and the skills of a micro surgeon are not necessary

· It is preferable to open surgery because it does not require general anesthetic and is technically easier

Some disadvantages of the PESA procedure include:

· If a blood vessel is accidentally damaged it may continue to bleed and result in a hematoma

· There can be a high rate of complications e.g. damage to the delicate epididymal tubules